| Lone Tree Family Practice Professional Llc | |
|
10103 Ridgegate Pkwy Suite G-23 Lone Tree CO 80124-5520 | |
| (303) 225-0025 | |
| Not Available |
| Full Name | Lone Tree Family Practice Professional Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 10103 Ridgegate Pkwy, Lone Tree, Colorado |
| Authorized Official Name and Position | Chester M Cedars (PRACTICE MANAGER) |
| Authorized Official Contact | 3032250025 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lone Tree Family Practice Professional Llc 10103 Ridgegate Pkwy Suite G-23 Lone Tree CO 80124-5520 Ph: (303) 225-0025 | Lone Tree Family Practice Professional Llc 10103 Ridgegate Pkwy Suite G-23 Lone Tree CO 80124-5520 Ph: (303) 225-0025 |
| NPI Number | 1487767364 |
|---|---|
| Provider Enumeration Date | 08/16/2006 |
| Last Update Date | 04/15/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487767364 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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